When giving a teen an enema I would highly recommend that you tell them they need the enema and explain how to do it and let then do it to protect their confidence and privacy. Alternatively you can prepare the enema for them and and while they get ready and ask if they would like to insert it or do they want you Do it. After i would leave them only and let the enema do it's thing. Also I would use a drape to cover the mid section to cover their genitals especially in girls.
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The short answer is carefully! The link, under Sources and Related Links, describes how to do one. If you scroll through the site it also describes some of the equipment that can be used. Enema kits are also available on and offline.
I have no problem giving my teenage son an enema. He has gotten many enemas throughout his young life. I tell him to get into the bathroom. I then tell him that "you know what to do". He removes his pants and underwear and lays facedown on a towel that I placed on a chair. Then I prepare the bulb and start to give him the enema. When he was young, he used to cry but now he just accepts it and it fully cooperative.
If its a boy of 13 to 20, and if he is resisting, then take his pants off and pull down his panties, turn him over your knee and use a hairbrush to give him the severest spanking hiss's ever had, the you can stick a huge enema nozzle up his behind hole and 3 quart enema.
I have no problem giving my 13 year old son an enema. In fact, he is quite comfortable in letting me give him one.